Cerebrospinal fluid-venous fistula visualisation by intrathecal pressurization: A technical note and illustrative case-Reference-Cited by-同舟云学术

Cerebrospinal fluid-venous fistula visualisation by intrathecal pressurization: A technical note and illustrative case

Published:2024-07-31 Issue: Volume: Page:
ISSN:1971-4009
Container-title:The Neuroradiology Journal
language:en
Short-container-title:Neuroradiol J

Author:

Lützen Niklas¹^ORCID,Zander Charlotte¹,Dersch Rick²,Beck Jürgen³,Urbach Horst¹^ORCID

Affiliation:

1. Department of Neuroradiology, Medical Center, University of Freiburg, Faculty of Medicine, Germany

2. Department of Neurology, Medical Center, University of Freiburg, Faculty of Medicine, Germany

3. Department of Neurosurgery, Medical Center, University of Freiburg, Faculty of Medicine, Germany

Abstract

CSF-venous fistulas (CVFs) are an important cause of spontaneous intracranial hypotension and challenging to diagnose. Lateral decubitus positioning during myelography and a technique called “resisted inspiration” has shown to improve CVF detection. However, the impact of intrathecal pressurization to improve visualization of CVF has mostly been speculated on. In this brief report, we demonstrate how a CVF became progressively more visible only after stepwise intrathecal pressurization: An indication of the importance of pressurization for CVF detection.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/19714009241269487

Reference14 articles.

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2. CSF-Venous Fistula

3. CSF-venous fistula in spontaneous intracranial hypotension

4. Lateral decubitus digital subtraction myelography to identify spinal CSF–venous fistulas in spontaneous intracranial hypotension

5. Decubitus CT Myelography for Detecting Subtle CSF Leaks in Spontaneous Intracranial Hypotension